<!DOCTYPE html>
<html>

	<head>
		<meta charset="utf-8">
		<meta name="viewport" content="width=device-width, initial-scale=1,maximum-scale=1, user-scalable=no">
		<title>代理商申请</title>
		<link rel="stylesheet" type="text/css" href="css/reset.css" />
		<link rel="stylesheet" href="css/public.css" />
		<script src="http://apps.bdimg.com/libs/jquery/1.6.4/jquery.min.js"></script>
		<script type="text/javascript" src="js/jianrong.js"></script>
		<script type="text/javascript" src="js/fastclick.js"></script>
	</head>
	<body>
		<header>
			<nav class="headerTwo">
				<img src="image/bg.png" alt="" />
				<a href="javascript:history.back(-1)" class="fl"><img src="image/return.png" alt="" /></a>
				<h2>代理商申请</h2>
			</nav>
		</header>
		<div class="addcardTwo"></div>
		<ul class="logg moAdress agentApplication">
			<li class="clearfix">
				<span>公司名称</span>
				<input type="text" placeholder="请输入公司名称" />
				<img src="image/close011.png" alt="" class="imgs fr" />
			</li>
			<li class="clearfix">
				<span>联系人</span>
				<input type="text" placeholder="请输入联系人姓名" />
				<img src="image/close011.png" alt="" class="imgs fr" />
			</li>
			<li class="clearfix">
				<span>联系方式</span>
				<input type="tel" placeholder="请输入联系方式" class="phones"/>
				<img src="image/close011.png" alt="" class="imgs fr" />
			</li>
			<li class="clearfix">
			   <span class="fl">代理商等级</span>
			   <ul class="fl agentApp">
			   	<li>
			   		<span>一级</span>
			   		<ul>
			   			<li>一级</li>
					   	<li>二级</li>
					   	<li>三级</li>
					   	<li>四级</li>
			   		</ul>
			   	</li>
			   	
			   </ul>
			</li>
			<li class="js_uploadBox">
				<span>营业执照</span>
				<a href="#" class="js_showBox "><img src="image/upload1.png" alt="" / class="pd  "></a>
				<input type="file" class="js_upFile"/>
			</li>
		</ul>
		<a href="#" class="btn buttons">提交申请</a>
		<script type="text/javascript" src="js/public.js"></script>
		<script type="text/javascript" src="js/jquery.uploadView.js"></script>
		<script type="text/javascript" src="js/upT.js"></script>
	</body>

</html>